Reservoir Computing (RC) is a simple and efficient model-free framework for data-driven predictions of nonlinear dynamical systems. Recently, Next Generation Reservoir Computing (NGRC) has emerged as an especially attractive variant of RC. By shifting the nonlinearity from the reservoir to the readout layer, NGRC requires less data and has fewer hyperparameters to optimize, making it suitable for challenging tasks such as predicting basins of attraction. Here, using paradigmatic multistable systems including magnetic pendulums and coupled Kuramoto oscillators, we show that the performance of NGRC models can be extremely sensitive to the choice of readout nonlinearity. In particular, by incorporating the exact nonlinearity from the original equations, NGRC trained on a single trajectory can predict pseudo-fractal basins with almost perfect accuracy. However, even a small uncertainty on the exact nonlinearity can completely break NGRC, rendering the prediction accuracy no better than chance. This creates a catch-22 for NGRC since it may not be able to make useful predictions unless a key part of the system being predicted (i.e., its nonlinearity) is already known. Our results highlight the challenges faced by data-driven methods in learning complex dynamical systems.
Medical Triage is of paramount importance to healthcare systems, allowing for the correct orientation of patients and allocation of the necessary resources to treat them adequately. While reliable decision-tree methods exist to triage patients based on their presentation, those trees implicitly require human inference and are not immediately applicable in a fully automated setting. On the other hand, learning triage policies directly from experts may correct for some of the limitations of hard-coded decision-trees. In this work, we present a Deep Reinforcement Learning approach (a variant of DeepQ-Learning) to triage patients using curated clinical vignettes. The dataset, consisting of 1374 clinical vignettes, was created by medical doctors to represent real-life cases. Each vignette is associated with an average of 3.8 expert triage decisions given by medical doctors relying solely on medical history. We show that this approach is on a par with human performance, yielding safe triage decisions in 94% of cases, and matching expert decisions in 85% of cases. The trained agent learns when to stop asking questions, acquires optimized decision policies requiring less evidence than supervised approaches, and adapts to the novelty of a situation by asking for more information. Overall, we demonstrate that a Deep Reinforcement Learning approach can learn effective medical triage policies directly from expert decisions, without requiring expert knowledge engineering. This approach is scalable and can be deployed in healthcare settings or geographical regions with distinct triage specifications, or where trained experts are scarce, to improve decision making in the early stage of care.